Job Description
Acts as a senior member of the planning and performance execution function of Medical Economics and contributes to the achievement of Medical Expense and Cost of Care goals by progressing new forms of medical cost management opportunities to execution. Leverages industry experience and program management expertise to expedite interventions from strategy development to timely execution and ensure enterprise alignment of priorities to achieve financial success.What You'll Do
• Collaborate with and coordinate strategy, clinical, and analytics teams to identify, evaluate and implement medical cost management strategies to meet BCBSNC’s Medical Expense and Cost of Care goals.
• Drive execution of critical activities such as portfolio planning, program management, complex financial/qualitative analysis, and strategy implementation at a departmental and enterprise level.
• Present information such as portfolio and planning data/insights, risk impact assessments, and strategy performance metrics to audiences at all levels, including senior-level leadership.
• Organize, optimize and communicate progress towards the completion of overall work portfolio.
• Collaborate with and support other departments across the enterprise on both common initiatives and unique ventures, acting as a subject matter expert for medical cost management planning and execution.
• Identify, analyze and monitor internal and external risks and trends that affect timely execution and delivery of financial value.
• Utilize expertise to identify operational improvements with new analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches.
What You'll Bring
• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field
What You’ll Get
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
Skills
Healthcare Consulting, Healthcare Financial Management, Healthcare Industry, Healthcare Innovation, Healthcare Management, Healthcare Reimbursement, Healthcare Strategic Planning, Health Outcomes, Medical Reimbursement, Performance Metrics, Physician Reimbursement, Project Management, Provider Reimbursement, Reimbursement, Reporting and Analysis_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

Stripe

Placer.ai

Stitch Fix

BAE Systems, Inc.

AMGEN

Blue Cross NC

Blue Cross NC

Blue Cross NC